Senior Care Records.

Facility Evaluation Report

Sequoias-portola Valley, the, Portola Valley11/20/2025Licence 410500567

Capacity328
Census260
Date signed11/20/2025 04:06:35 PM
Name of licensing program analystJohn Calandra
Name of licensing program managerBrenda Chan
The inspector’s account

On 11/20/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility, to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Suzanne Wasley-Fairley, Executive Director and Amanda Martinez, Nurse Manager explained the purpose of the visit.

LPA reviewed 6 staff files and 5 resident files. All were observed to be complete.

LPA collected the following documents during the visit: Current LIC 500(Personnel Summary Report), Liability Insurance and Administrator Certificates for S1, S2, and S3.

During record review, LPA observed that S1 did not have TB results. A Type A citation was provided for this citation.

Deficiency is cited under the California Code of Regulations(CCR), Title 22. Failure to correct the Deficiency by the Proof of Correction(POC) due date may result in Civil Penalties.

This Annual will be completed at a later date.

An exit interview was conducted. This report was reviewed with facility representatives and a copy provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction